CAJ | 학술논문

回顾性分析1998-01/2006-12上海长征医院骨科关节外科部收治的53例(69膝)发生全膝置换后伤口并发症患者的临床资料.伤口皮肤问题包括皮肤红肿、切口裂开、局部血肿、皮肤坏死和深部感染,分别采取相应的处理措施.其中58膝进行局部皮肤护理;6膝进行清创和二期闭合;皮肤软组织缺损的基本处置中3膝行局部肌瓣移植,1膝行筋膜皮瓣移植,1膝行筋膜皮瓣和皮肤游离移植.平均随访1.9年,所有伤口均愈合良好.提示治疗全膝置换后伤口愈合并发症,应该根据病情采取相应的处置方法.
회고성분석1998-01/2006-12상해장정의원골과관절외과부수치적53례(69슬)발생전슬치환후상구병발증환자적림상자료.상구피부문제포괄피부홍종、절구렬개、국부혈종、피부배사화심부감염,분별채취상응적처리조시.기중58슬진행국부피부호리;6슬진행청창화이기폐합;피부연조직결손적기본처치중3슬행국부기판이식,1슬행근막피판이식,1슬행근막피판화피부유리이식.평균수방1.9년,소유상구균유합량호.제시치료전슬치환후상구유합병발증,응해근거병정채취상응적처치방법.
Clinical data of 53 patients (69 knees), who were treated at the Division of Joint Surgery, Department of Orthopaedics, Changzheng Hospital from January 1998 to December 2006, were retrospectively analyzed. These patients suffered from wound-healing complications following total knee arthroplasty. Wound skin problems included skin flare, disruption of wound, local hematoma, skin necrosis and deep infection. Local wound care was performed in 58 knees, debridement and secondary closure in 6 kness, and primary management of the soft tissue defect was achieved with local muscle flaps in 3 knees, with the fasciocutaneous flap in 1 knee, and with fasciocutaneous flap and skin grafting in 1 knee. Mean follow-up was 1.9 years. All wound was healed well. It is indicated that corresponding management should be used for treating wound-healing complications following total knee arthroplasty.